| NPI | 1508493768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 227900000X Respiratory Therapist, Registered (Licence: VA 0117007847) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: UT 11558996-5701) |
| 227900000X Respiratory Therapist, Registered (Licence: CO RTL.0006226) | |
| 227900000X Respiratory Therapist, Registered (Licence: WY 1241) | |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |